Individual
KELLIE BAKER GARRETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
710 N 5TH AVE NE, ROME, GA 30165-2704
(706) 331-4129
(706) 291-2558
Mailing address
20 LINDBERG DR NE, ROME, GA 30161-5166
(706) 331-4129
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
018228
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1104049
—
GA
Enumeration date
01/15/2022
Last updated
01/15/2022
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